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中华损伤与修复杂志(电子版)

中华损伤与修复杂志(电子版) ›› 2022, Vol. 17 ›› Issue (02) : 100 -105. doi: 10.3877/cma.j.issn.1673-9450.2022.02.002

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深度电烧伤创面的皮瓣修复
魏在荣1,†(), 杨成兰1, 蒋玲丽1   
  1. 1. 563000　遵义医科大学附属医院烧伤整形外科
  • 收稿日期:2022-02-10 出版日期:2022-04-01
  • 通信作者: 魏在荣
  • 基金资助:
    贵州省创面外科整合治疗科技创新人才团队(黔科合平台人才（2020）5012); 省部共建协同创新中心项目(教科技厅函〔2020〕39号); 创面精准修复创新人才平台载体建设(遵市科人平台〔2021〕号)

Surgical flap: an effective method for severe electrical burn wound repair

Zairong Wei1,†(), Chenglan Yang1, Lingli Jiang1   

  1. 1. Department of Burns and Plastic Surgery, the Affiliated Hospital of Zunyi Medical University, Zunyi 563000, China
  • Received:2022-02-10 Published:2022-04-01
  • Corresponding author: Zairong Wei
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魏在荣, 杨成兰, 蒋玲丽. 深度电烧伤创面的皮瓣修复[J]. 中华损伤与修复杂志(电子版), 2022, 17(02): 100-105.

Zairong Wei, Chenglan Yang, Lingli Jiang. Surgical flap: an effective method for severe electrical burn wound repair[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2022, 17(02): 100-105.

认识电烧伤已有近300年历史。电烧伤是一种常见病，发病率高、病理复杂、治疗难度大。深度电烧伤创面以皮瓣修复为主，包括网状血管皮瓣、链状血管皮瓣、穿支血管皮瓣、轴型血管皮瓣，根据供受区情况来选择不同的皮瓣种类及带蒂移植或游离移植修复方式。对电烧伤根据损伤部位、损伤程度进行相应分度，进而选择适宜的手术时机与修复方法。热量导致电烧伤早期是干净的创面，早期彻底清创、及时重建血运与皮瓣有效覆盖是关键，特别是游离皮瓣移植可更好地进行功能与外形重建。

关键词: 外科皮瓣, 电烧伤, 创面修复

Electrical burns have been recognised for nearly 300 years. Electrical burns are a common condition with high morbidity, complex pathology and difficult treatment. Deep electrical burn wounds are mainly repaired with different types of flaps, including reticular vascular flaps, chain vascular flaps, vascular perforator flaps and axial-pattern flap, with pedicled or free graft repairing options depending on the donor-recipient area. Electrical burns are graded according to the location and degree of injury, then the appropriate timing and repair method is be chosen. Electrical burns are clean wounds in the early stages because of the thermal damage, and early thorough debridement, timely re-establishment of blood flow and effective coverage by flaps are key points. Especially they can obtain better functional and appearance reconstructions with repairing by free flaps.

Key words: Surgical flaps, Electrical burns, Wound repair
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